Individual provider Active NPI

Molly Bierley

  • Family Nurse Practitioner
  • Hanover, MD
National Provider Identifier
1255715926
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R230282 Issued in MD
Practice address
7157 Ridge Rd
Hanover, MD 21076-1425
Phone
(443) 951-4804
NPI assigned
Jul 13, 2015
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9324399 FL
Family Nurse Practitioner 363LF0000X R230282 MD Primary

Addresses

Primary practice location

7157 Ridge Rd
Hanover, MD 21076-1425

Mailing address

1502 Wakefield Rd
Edgewater, MD 21037-4625

Other practice location 1

10155 Okeechobee Blvd
West Palm Beach, FL 33411-1404
Phone (561) 784-2734 ext. 8221

Other practice location 2

4390 Montgomery Rd
Ellicott City, MD 21043-6068
Phone (410) 353-0798

Other names 1

  • Molly Bausum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9324399FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health LLC CurrentSince May 3, 2020 Accepting new patients

Locations

7157 Ridge Rd
Hanover, MD 21076
Phone (443) 951-4804

Interoperability endpoints

  • Direct secure messaging: molly.bierley.1@14940.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1255715926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WAKEFIELD RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210374625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 RIDGE RD",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761425",
            "telephone_number": "443-951-4804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10155 Okeechobee Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334111404",
            "country_code": "US",
            "telephone_number": "561-784-2734 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4390 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210436068",
            "country_code": "US",
            "telephone_number": "410-353-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIERLEY",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9324399",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R230282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BAUSUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.